Loading…

Surgical treatment for total root avulsion type brachial plexus injuries by neurotization: A prospective comparison study between total and hemicontralateral C7 nerve root transfer

Purpose: We conducted a clinical study to evaluate the effects of neurotization, especially comparing the total contralateral C7 (CC7) root transfer to hemi‐CC7 transfer, on total root avulsion brachial plexus injuries (BPI). Methods: Forty patients who received neurotization for BPI were enrolled i...

Full description

Saved in:
Bibliographic Details
Published in:Microsurgery 2014-02, Vol.34 (2), p.91-101
Main Authors: Tu, Yuan-Kun, Tsai, Yi-Jung, Chang, Chih-Han, Su, Fong-Chin, Hsiao, Chih-Kun, Tan, Jacqueline Siau-Woon
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c4868-1a89b5cfcf683a371de1ba283b5a38b1aac3d635f54609a53c53d5d600cb208e3
cites cdi_FETCH-LOGICAL-c4868-1a89b5cfcf683a371de1ba283b5a38b1aac3d635f54609a53c53d5d600cb208e3
container_end_page 101
container_issue 2
container_start_page 91
container_title Microsurgery
container_volume 34
creator Tu, Yuan-Kun
Tsai, Yi-Jung
Chang, Chih-Han
Su, Fong-Chin
Hsiao, Chih-Kun
Tan, Jacqueline Siau-Woon
description Purpose: We conducted a clinical study to evaluate the effects of neurotization, especially comparing the total contralateral C7 (CC7) root transfer to hemi‐CC7 transfer, on total root avulsion brachial plexus injuries (BPI). Methods: Forty patients who received neurotization for BPI were enrolled in this prospective study. Group 1 (n = 20) received hemi‐CC7 transfer for hand function, while group 2 (n = 20) received total‐CC7 transfer. Additional neurotization included spinal accessory, phrenic, and intercostal nerve transfer for shoulder and elbow function. The results were evaluated with an average of 6 years follow‐up. Results: Group 1 had fewer donor site complications (15%) than group 2 (45%); group 2 had significantly better hand M3 and M4 motor function (65%) than group 1 (30%; P = 0.02). There was no difference in sensory recovery. Significantly, better shoulder function was obtained by simultaneous neurotization on both suprascapular and axillary nerves. Conclusions: Total‐CC7 transfer had better hand recovery but more donor complications than hemi‐CC7. Neurotization on both supra‐scapular and axillary nerves improved shoulder recovery. © 2013 The Authors. Microsurgery published by Wiley Periodicals, Inc. Microsurgery 34:91–101, 2014.
doi_str_mv 10.1002/micr.22148
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4282479</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3212957701</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4868-1a89b5cfcf683a371de1ba283b5a38b1aac3d635f54609a53c53d5d600cb208e3</originalsourceid><addsrcrecordid>eNp9kstuEzEUhkcIRENhwwMgS2wQUoovc7FZVKoiCBXlIlrE0vJ4zjQOM_Zge9KG5-IBcS6NgAUbW_L_nd__sU-WPSX4hGBMX_VG-xNKSc7vZROCBZ_SqqD3swmuGJ8SzIuj7FEIS4yxEJV4mB1RJgjLczzJfl2O_tpo1aHoQcUebESt8yi6mM68cxGp1dgF4yyK6wFQ7ZVemKQNHdyOARm7HL2BgOo1sjB6F81PFRP-Gp2hwbswgI5mBUi7flDehGQU4tisUQ3xBsDur1K2QQtIrTgbvepUhLSiWZVMfareJkmCDS34x9mDVnUBnuz34-zr2zdXs3fTi0_z89nZxVTnvEydKy7qQre6LTlTrCINkFpRzupCMV4TpTRrSla0RV5ioQqmC9YUTYmxrinmwI6z053vMNY9NBq20eTgTa_8Wjpl5N-KNQt57VYyp5zmlUgGL_YG3v0YIUTZm6Ch65QFNwZJciFIzlhOE_r8H3TpRm9TexuqLHgl8jJRL3eUTi8bPLSHMATLzTDIzTDI7TAk-Nmf8Q_o3e8ngOyAG9PB-j9W8sP57Mud6XRXY0KE20ON8t9lWbGqkN8-zuWVIO_pfP5ZXrLfKyjVBA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1496587946</pqid></control><display><type>article</type><title>Surgical treatment for total root avulsion type brachial plexus injuries by neurotization: A prospective comparison study between total and hemicontralateral C7 nerve root transfer</title><source>Wiley</source><creator>Tu, Yuan-Kun ; Tsai, Yi-Jung ; Chang, Chih-Han ; Su, Fong-Chin ; Hsiao, Chih-Kun ; Tan, Jacqueline Siau-Woon</creator><creatorcontrib>Tu, Yuan-Kun ; Tsai, Yi-Jung ; Chang, Chih-Han ; Su, Fong-Chin ; Hsiao, Chih-Kun ; Tan, Jacqueline Siau-Woon</creatorcontrib><description>Purpose: We conducted a clinical study to evaluate the effects of neurotization, especially comparing the total contralateral C7 (CC7) root transfer to hemi‐CC7 transfer, on total root avulsion brachial plexus injuries (BPI). Methods: Forty patients who received neurotization for BPI were enrolled in this prospective study. Group 1 (n = 20) received hemi‐CC7 transfer for hand function, while group 2 (n = 20) received total‐CC7 transfer. Additional neurotization included spinal accessory, phrenic, and intercostal nerve transfer for shoulder and elbow function. The results were evaluated with an average of 6 years follow‐up. Results: Group 1 had fewer donor site complications (15%) than group 2 (45%); group 2 had significantly better hand M3 and M4 motor function (65%) than group 1 (30%; P = 0.02). There was no difference in sensory recovery. Significantly, better shoulder function was obtained by simultaneous neurotization on both suprascapular and axillary nerves. Conclusions: Total‐CC7 transfer had better hand recovery but more donor complications than hemi‐CC7. Neurotization on both supra‐scapular and axillary nerves improved shoulder recovery. © 2013 The Authors. Microsurgery published by Wiley Periodicals, Inc. Microsurgery 34:91–101, 2014.</description><identifier>ISSN: 0738-1085</identifier><identifier>EISSN: 1098-2752</identifier><identifier>DOI: 10.1002/micr.22148</identifier><identifier>PMID: 23913440</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Brachial Plexus - injuries ; Brachial Plexus - surgery ; Clinical ; Female ; Humans ; Male ; Nerve Transfer - methods ; Prospective Studies ; Radiculopathy - surgery ; Recovery of Function ; Young Adult</subject><ispartof>Microsurgery, 2014-02, Vol.34 (2), p.91-101</ispartof><rights>Copyright © 2013 The Authors. Microsurgery published by Wiley Periodicals, Inc.</rights><rights>Copyright © 2013 Wiley Periodicals, Inc.</rights><rights>Copyright © 2013 The Authors. Microsurgery published by Wiley Periodicals, Inc. 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4868-1a89b5cfcf683a371de1ba283b5a38b1aac3d635f54609a53c53d5d600cb208e3</citedby><cites>FETCH-LOGICAL-c4868-1a89b5cfcf683a371de1ba283b5a38b1aac3d635f54609a53c53d5d600cb208e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23913440$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tu, Yuan-Kun</creatorcontrib><creatorcontrib>Tsai, Yi-Jung</creatorcontrib><creatorcontrib>Chang, Chih-Han</creatorcontrib><creatorcontrib>Su, Fong-Chin</creatorcontrib><creatorcontrib>Hsiao, Chih-Kun</creatorcontrib><creatorcontrib>Tan, Jacqueline Siau-Woon</creatorcontrib><title>Surgical treatment for total root avulsion type brachial plexus injuries by neurotization: A prospective comparison study between total and hemicontralateral C7 nerve root transfer</title><title>Microsurgery</title><addtitle>Microsurgery</addtitle><description>Purpose: We conducted a clinical study to evaluate the effects of neurotization, especially comparing the total contralateral C7 (CC7) root transfer to hemi‐CC7 transfer, on total root avulsion brachial plexus injuries (BPI). Methods: Forty patients who received neurotization for BPI were enrolled in this prospective study. Group 1 (n = 20) received hemi‐CC7 transfer for hand function, while group 2 (n = 20) received total‐CC7 transfer. Additional neurotization included spinal accessory, phrenic, and intercostal nerve transfer for shoulder and elbow function. The results were evaluated with an average of 6 years follow‐up. Results: Group 1 had fewer donor site complications (15%) than group 2 (45%); group 2 had significantly better hand M3 and M4 motor function (65%) than group 1 (30%; P = 0.02). There was no difference in sensory recovery. Significantly, better shoulder function was obtained by simultaneous neurotization on both suprascapular and axillary nerves. Conclusions: Total‐CC7 transfer had better hand recovery but more donor complications than hemi‐CC7. Neurotization on both supra‐scapular and axillary nerves improved shoulder recovery. © 2013 The Authors. Microsurgery published by Wiley Periodicals, Inc. Microsurgery 34:91–101, 2014.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Brachial Plexus - injuries</subject><subject>Brachial Plexus - surgery</subject><subject>Clinical</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Nerve Transfer - methods</subject><subject>Prospective Studies</subject><subject>Radiculopathy - surgery</subject><subject>Recovery of Function</subject><subject>Young Adult</subject><issn>0738-1085</issn><issn>1098-2752</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNp9kstuEzEUhkcIRENhwwMgS2wQUoovc7FZVKoiCBXlIlrE0vJ4zjQOM_Zge9KG5-IBcS6NgAUbW_L_nd__sU-WPSX4hGBMX_VG-xNKSc7vZROCBZ_SqqD3swmuGJ8SzIuj7FEIS4yxEJV4mB1RJgjLczzJfl2O_tpo1aHoQcUebESt8yi6mM68cxGp1dgF4yyK6wFQ7ZVemKQNHdyOARm7HL2BgOo1sjB6F81PFRP-Gp2hwbswgI5mBUi7flDehGQU4tisUQ3xBsDur1K2QQtIrTgbvepUhLSiWZVMfareJkmCDS34x9mDVnUBnuz34-zr2zdXs3fTi0_z89nZxVTnvEydKy7qQre6LTlTrCINkFpRzupCMV4TpTRrSla0RV5ioQqmC9YUTYmxrinmwI6z053vMNY9NBq20eTgTa_8Wjpl5N-KNQt57VYyp5zmlUgGL_YG3v0YIUTZm6Ch65QFNwZJciFIzlhOE_r8H3TpRm9TexuqLHgl8jJRL3eUTi8bPLSHMATLzTDIzTDI7TAk-Nmf8Q_o3e8ngOyAG9PB-j9W8sP57Mud6XRXY0KE20ON8t9lWbGqkN8-zuWVIO_pfP5ZXrLfKyjVBA</recordid><startdate>201402</startdate><enddate>201402</enddate><creator>Tu, Yuan-Kun</creator><creator>Tsai, Yi-Jung</creator><creator>Chang, Chih-Han</creator><creator>Su, Fong-Chin</creator><creator>Hsiao, Chih-Kun</creator><creator>Tan, Jacqueline Siau-Woon</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><general>BlackWell Publishing Ltd</general><scope>BSCLL</scope><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7T5</scope><scope>7T7</scope><scope>7TK</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201402</creationdate><title>Surgical treatment for total root avulsion type brachial plexus injuries by neurotization: A prospective comparison study between total and hemicontralateral C7 nerve root transfer</title><author>Tu, Yuan-Kun ; Tsai, Yi-Jung ; Chang, Chih-Han ; Su, Fong-Chin ; Hsiao, Chih-Kun ; Tan, Jacqueline Siau-Woon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4868-1a89b5cfcf683a371de1ba283b5a38b1aac3d635f54609a53c53d5d600cb208e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Brachial Plexus - injuries</topic><topic>Brachial Plexus - surgery</topic><topic>Clinical</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Nerve Transfer - methods</topic><topic>Prospective Studies</topic><topic>Radiculopathy - surgery</topic><topic>Recovery of Function</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tu, Yuan-Kun</creatorcontrib><creatorcontrib>Tsai, Yi-Jung</creatorcontrib><creatorcontrib>Chang, Chih-Han</creatorcontrib><creatorcontrib>Su, Fong-Chin</creatorcontrib><creatorcontrib>Hsiao, Chih-Kun</creatorcontrib><creatorcontrib>Tan, Jacqueline Siau-Woon</creatorcontrib><collection>Istex</collection><collection>Wiley Open Access</collection><collection>Wiley Online Library website</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Microsurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tu, Yuan-Kun</au><au>Tsai, Yi-Jung</au><au>Chang, Chih-Han</au><au>Su, Fong-Chin</au><au>Hsiao, Chih-Kun</au><au>Tan, Jacqueline Siau-Woon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical treatment for total root avulsion type brachial plexus injuries by neurotization: A prospective comparison study between total and hemicontralateral C7 nerve root transfer</atitle><jtitle>Microsurgery</jtitle><addtitle>Microsurgery</addtitle><date>2014-02</date><risdate>2014</risdate><volume>34</volume><issue>2</issue><spage>91</spage><epage>101</epage><pages>91-101</pages><issn>0738-1085</issn><eissn>1098-2752</eissn><abstract>Purpose: We conducted a clinical study to evaluate the effects of neurotization, especially comparing the total contralateral C7 (CC7) root transfer to hemi‐CC7 transfer, on total root avulsion brachial plexus injuries (BPI). Methods: Forty patients who received neurotization for BPI were enrolled in this prospective study. Group 1 (n = 20) received hemi‐CC7 transfer for hand function, while group 2 (n = 20) received total‐CC7 transfer. Additional neurotization included spinal accessory, phrenic, and intercostal nerve transfer for shoulder and elbow function. The results were evaluated with an average of 6 years follow‐up. Results: Group 1 had fewer donor site complications (15%) than group 2 (45%); group 2 had significantly better hand M3 and M4 motor function (65%) than group 1 (30%; P = 0.02). There was no difference in sensory recovery. Significantly, better shoulder function was obtained by simultaneous neurotization on both suprascapular and axillary nerves. Conclusions: Total‐CC7 transfer had better hand recovery but more donor complications than hemi‐CC7. Neurotization on both supra‐scapular and axillary nerves improved shoulder recovery. © 2013 The Authors. Microsurgery published by Wiley Periodicals, Inc. Microsurgery 34:91–101, 2014.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>23913440</pmid><doi>10.1002/micr.22148</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0738-1085
ispartof Microsurgery, 2014-02, Vol.34 (2), p.91-101
issn 0738-1085
1098-2752
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4282479
source Wiley
subjects Adolescent
Adult
Brachial Plexus - injuries
Brachial Plexus - surgery
Clinical
Female
Humans
Male
Nerve Transfer - methods
Prospective Studies
Radiculopathy - surgery
Recovery of Function
Young Adult
title Surgical treatment for total root avulsion type brachial plexus injuries by neurotization: A prospective comparison study between total and hemicontralateral C7 nerve root transfer
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T23%3A15%3A01IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Surgical%20treatment%20for%20total%20root%20avulsion%20type%20brachial%20plexus%20injuries%20by%20neurotization:%20A%20prospective%20comparison%20study%20between%20total%20and%20hemicontralateral%20C7%20nerve%20root%20transfer&rft.jtitle=Microsurgery&rft.au=Tu,%20Yuan-Kun&rft.date=2014-02&rft.volume=34&rft.issue=2&rft.spage=91&rft.epage=101&rft.pages=91-101&rft.issn=0738-1085&rft.eissn=1098-2752&rft_id=info:doi/10.1002/micr.22148&rft_dat=%3Cproquest_pubme%3E3212957701%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c4868-1a89b5cfcf683a371de1ba283b5a38b1aac3d635f54609a53c53d5d600cb208e3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1496587946&rft_id=info:pmid/23913440&rfr_iscdi=true